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Lisa Mustillo
NPI 1912181132 · on the registry since 2007 · sole proprietor
Practice
- Address
- 180 Montgomery St Ne
Marietta, GA 30060 - Phone
- (917) 992-7896
Additional practice sites
- 1841 Broadway @ 60th Street, New York, NY
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- NY, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-06-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia